ST:12 (Test 8) Flashcards
It is proper technique to clean the septum of a kit reaction vial, and inject an amount of air equal to the volume being withdrawn when preparing a unit dose?
a. True
b. False
a. True
What is the purpose of adding hetastarch to a blood sample drawn for the purpose of leukocyte labeling?
a. To act as an anticoagulant
b. To hasten the settling of erythrocytes
c. To separate platelets from leukocytes
d. To improve labeling efficiency
b. To hasten the settling of erythrocytes
Following reconstitution of a kit with 99mTc pertechnetate, a technologist should ensure that all of the following are present on the vial except:
a. Date and time of preparation
b. Lot number
c. Concentration and volume
d. Patient name or identification number
d. Patient name or identification number
What is the difference between preparation of a 99mTc HMPAO kit for use in leukocyte labeling as compared to brain imaging?
a. Methylene blue stabilizer is not added
b. The kit is boiled after addition of pertechnetate
c. An anticoagulant must be added
d. Labeling efficiency is much more critical
a. Methylene blue stabilizer is not added
Testing for pyrogens is achieved by:
a. Radiochromatography
b. Limulus amebocyte lysate assay
c. ITLC
d. None of the above
b. Limulus amebocyte lysate assay
If the proper centrifuge speed is not used during separation of cell types for leukocyte labeling with In111 Oxine, what may happen?
a. Platelets may be inadvertently labeled
b. In111 Oxine will not tag WBCs
c. Red blood cells may become damaged
d. White blood cells may become damaged
a. Platelets may be inadvertently labeled
In reconstituted radiopharmaceutical kits, in what form is 99mTc is present?
a. Free pertechnetate
b. Bound technetium
c. Reduced, hydrolyzed technetium
d. All of the above
d. All of the above
A 99Mo/99mTc generator exists in _______ equilibrium and the parent isotope has a physical half life __________ than the daughter isotope?
a. Transient, longer
b. Transient, shorter
c. Static, longer
d. Static, shorter
a. Transient, longer
Which of the following radionuclides is not a positron emitter?
a. Rb82
b. O15
c. F18
d. C14
e. Ga68
d. C14
When a neutron deficient emits a positron:
a. Atomic mass number decreases by 1
b. Atomic mass number increases by 1
c. Atomic number increases by 1
d. Atomic mass number is unchanged
d. Atomic mass number is unchanged
Which of the following has the shortest half-life?
a. Rb82
b. N13
c. O15
d. F18
a. Rb82
When 18FDG is transported across most cell membranes:
a. It diffuses back out of the cell in about 3 hours
b. It is trapped in the cell
c. It is not further metabolized
d. It is trapped in the cell AND it is not further metabolized
e. It diffuses back out of the cell in about 3 hours AND it is not further metabolized
d. It is trapped in the cell AND it is not further metabolized
Which of the following will not affect the distribution of 18FDG on a PET image?
a. Intense physical activity the day before imaging
b. Serum insulin level
c. Serum glucose level
d. Bladder catheterization
e. All of the above affect distribution
e. All of the above affect distribution
Which of the following bodies regulates the use of investigational pharmaceuticals?
a. NRC
b. DOT
c. IRB
d. FDA
d. FDA
In the event of a spill of 99mTc to clothes, one should immediately:
a. Enter the shower fully clothed
b. Remove and store the clothes until they decay to background
c. Wash the clothes in hot water and then survey them to determine remaining activity
d. Remove and destroy the clothing
b. Remove and store the clothes until they decay to background
If a radiopharmaceutical is spilled on the floor, the first priority is to:
a. Contact the radiation safety officer
b. Pour a chelating solution over the area of the spill
c. Cover the area with absorbent paper and restrict access around it
d. Call the housekeeping department to arrange for cleaning
c. Cover the area with absorbent paper and restrict access around it
The inverse square law, in words, says:
a. If you double the distance from the source of activity, you reduce the exposure to 25% of the original intensity
b. If you double the distance from the source of the activity, you decrease exposure by 25%
c. If you halve the distance from the source of activity, you decrease exposure to 25% of the original intensity
d. If you halve the distance from the source of activity, you decrease exposure to one fourth of the original intensity
a. If you double the distance from the source of activity, you reduce the exposure to 25% of the original intensity
What is the best way to decrease the radioactive dose to visitors if a patient is surveyed to emit 3mR/hr at bedside?
a. Have the patient wear a lead apron
b. Keep the patient well hydrated and encourage frequent voiding
c. Have the visitor sit or stand as far as possible from bedside
d. Have the visitor wear lead shielding
c. Have the visitor sit or stand as far as possible from bedside
Which of the following should be used when administering an intravenous pharmaceutical to a patient?
a. Lead syringe shield
b. Leaded eye glasses
c. Gloves
d. Lead syringe shield and leaded eyeglasses
e. All of the above
c. Gloves
A technologist performs an extrinsic uniformity correction on Monday and it shows a nonuniformity of 3%. One Tuesday it is 8%, What would be the next step?
a. Check the photopeak
b. Call for service on the machine
c. Remove the collimator and obtain intrinsic uniformity flood
d. Check the photopeak AND remove the old collimator and obtain intrinsic uniformity flood
d. Check the photopeak AND remove the old collimator and obtain intrinsic uniformity flood
Why might a technologist use an asymmetric window around a photopeak?
a. To include other emissions
b. To exclude Compton edge
c. To exclude Compton scatter
d. None of the above
c. To exclude Compton scatter
What energies are included if a 20% symmetric window is used for the 364 keV photopeak of I131?
a. 191-437
b. 328-400
c. 337-391
d. 344-384
B. 328-400
Osteoclastic activity refers to:
a. Bone marrow biopsy
b. Destruction and reabsorption of bone
c. Bone compression
d. New bone formation
b. Destruction and reabsorption of bone
The function of the skeleton is:
a. To provide support
b. To protect organs
c. Production of blood cells
d. All of the above
d. All of the above
Which group shows the highest rate of primary bone tumors?
a. The elderly
b. Children
c. Males
d. Females
b. Children
The radiation dose from a bone scan is highest to the:
a. Bone marrow
b. Chest
c. Bladder
d. Brain
c. Bladder
When performing a bolus injection for a 3-phase bone scan, why would the tourniquet be released and injection delayed for one minute?
a. To minimize pain during injection
b. To reduce transient hyperemia resulting from vasodilation
c. To double check the dynamic sequence settings
d. To obtain a better bolus
b. To reduce transient hyperemia resulting from vasodilation
What is an advantage of spot planar imaging over whole body imaging for a bone scan?
a. Speed
b. Decreased patient to detector distance
c. No need for COR correction
d. Better evaluation of metastasis spread
b. Decreased patient to detector distance
Which of the following would be a reason not to inject in the right antecubital fossa?
a. The patient had blood drawn from the back of the right hand the same day
b. The patient was injected on the right for a previous bone scan
c. There is a suspicion of osseous abnormality in the right distal humerus
d. The patient is left-handed
c. There is a suspicion of osseous abnormality in the right distal humerus
Which of the following is not in the pelvis?
a. The ilium
b. The ischium
c. The iridium
d. None of the above
c. The iridium
The preparation for a bone scan is:
a. NPO for midnight
b. Cleansing enema
c. Patient must be off thyroid medication for 4 weeks
d. None of the above
e. NPO from midnight AND cleansing enema
d. None of the above
A high-resolution collimator would be most appropriate for:
a. Myocardial perfusion study with 201TI chloride
b. Myocardial perfusion with 99mTc Sestamibi
c. First pass study with 99mDTPA
d. Myocardial imaging with 99mTc pyrophosphate
b. Myocardial perfusion with 99mTc Sestamibi
On Monday morning, a technologist receives a telephone request to perform a myocardial study with 99mTc PYP for detection of a myocardial infarct suspected to have taken place that morning at 8:00 a.m. What should be done?
a. The patient should be injected, but not scanned until at least 8:00 a.m. on Tuesday
b. The study should be delayed until 8:00 a.m. on Tuesday
c. The study should be delayed until 8;00 a.m. on Thursday
d. The patient should be injected and scanned as soon as possible
b. The study should be delayed until 8:00 a.m. on Tuesday
the calcium build up after infarction takes about 18-24 hours in order to show up on a scan, so you must wait 1 day after MI to be able to image
Infarct-avid myocardial imaging with 99mTcPYP is usually interpreted by comparing cardiac activity in:
a. Rib
b. Sternum
c. Kidneys
d. All of the above
e. Rib and sternum only
e. Rib and sternum only
If a SPECT myocardial study with 99mTcPYP is performed using 64 views of 20 seconds each over 360, how long will the study take assuming continuous rotation?
a. 18 minutes
b. 21 minutes
c. 92 minutes
d. 112 minutes
b. 21 minutes
Gated equilibrium cardiac blood pool images can be used to reliably determine:
a. Hibernating myocardium
b. LVEF
c. Interventricular shunt
d. Ischemia
e. All of the above
b. LVEF
Akinesis refers to:
a. A lack of wall motion
b. Diminished wall motion
c. Paradoxical wall motion
d. Septal motion
a. A lack of wall motion
The R-R interval represents:
a. Only repolarization
b. Arrhythmia filtering
c. The length of a cardiac cycle
d. Length of time data is held in a buffer before being accepted or rejected
c. The length of a cardiac cycle
When labeling RBCs with 99mTc for radionuclide ventriculography, the highest labeling efficiency with be obtained by:
a. The invivo method
b. The invitro method
c. The modified invivo/invitro method
d. All result in the same labeling efficiency
b. The invitro method
In which of the following cases must imaging be initiated as soon as possible after radiopharmaceutical injection?
a. Radionuclide ventriculography with 99mTc labeled RBCs
b. Radionuclide ventriculography with 99mTcHSA
c. Myocardial perfusion imaging with 99mTc Sestamibi
d. Resting myocardial perfusion with 201TI chloride
b. Radionuclide ventriculography with 99mTcHSA
HSA accumulates in the liver very quickly after injection so you must take pictures immediately